Organization
GERIPSYCH SERVICES PLLC
Active
Other names
GINA HAGAR PSYD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA M HAGAR PSYCHOLOGIST (OWNER/MANAGER)
(828) 665-7062
Entity
Organization
Contact information
Practice address
611 OLD US HWY 70 E, BLACK MOUNTAIN, NC 28711-9488
(828) 665-7062
Mailing address
PO BOX 263, CANDLER, NC 28715-0263
(828) 665-7062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3730
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008718
—
NC
Enumeration date
02/02/2012
Last updated
06/24/2015
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